Laserfiche WebLink
Application <br />- FOR - <br />Certificate of Appropriateness <br />Historic Preservation Commission of South Bend & St. Joseph County <br />125 S. Lafayette Blvd., South Bend, Indiana 46601 <br />Mailing Address: County -City Building, South Bend, Indiana 46601 <br />Phone: 574-235-9798 • Fax: 574-235-9578 • Email: SBSJCHPC@co.st joseph.inus <br />Website: http://www.st osephcountyindiana.com/s chp/index.html <br />OFFICE USE ONLY »»» DO NOT COMPLETE ANY ENTRIES CONTAINED IN THIS BOX »»» OFFICE USE ONLY <br />Date Received /a de- tO/o Application Number —4-0 16 <br />Past Reviews: [RIES (Date of Gast Review) � (O � a0'7� 3 NO <br />Staff Approval authorized by: <br />Title: <br />Historic Commission Review Date: o"w <br />[i] Local Landmark Dreo cal Historic District (Name) <br />National Landmark E] National Register District (Name) <br />Certificate of Appropriateness: <br />E] Denied E] Tabled E] Sent To Committee ❑ Approved and Issued <br />DATE <br />Address of Property for proposed work: a Historic District - Along Diamond Ave. <br />Street Number and Street Name <br />Name of Property Owner(s): (Please Print) City of South Bend, Department of Public Works <br />Address of Property Owner(s): Suite 1300 N, 227 W. Jefferson Blvd., South Bend, IN 46601 <br />Contractor(s) Name: Christopher Waidner, P. E. <br />Contract Company Name: The Troyer Group <br />Contractor Address: 550 Union Street <br />City: Mishawaka, IN 46544 Phone: (574) 259-9976 <br />Current Use of Building: Not a building, rather a Residential Historic District <br />(Single Family - Multi -Family - Commercial - Gomrnment - Industrial - Vacant - etc.) <br />Type of Building Construction: No building construction, rather a roadway improvement project <br />(Wood Frame - Brick - Stone - Steel - Concrete - Other) <br />Proposed Work: ❑ In-kind [:] Landscape E] New M Replacement (not in-kind) ElDemolition <br />(more than one box may be checked) x Other - Roadway Improvements adjacent to District <br />Description of Proposed Work: (see attached sheet) <br />11 <br />0 e /Contra or: ax: (574) 259-9982 <br />(This ce will corres and w only one designee) <br />'l and/or <br />e-mail clw@troyergroup.com <br />— APPLICATION REQUIREMENTS ARE LISTED ON REVERSE SIDE — <br />